| Vital Minds Psychotherapy & Life Coaching, Llc | |
|
118 Hidden Dr Blackwood NJ 08012-4430 | |
| (609) 254-6213 | |
| Not Available |
| Full Name | Vital Minds Psychotherapy & Life Coaching, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 118 Hidden Dr, Blackwood, New Jersey |
| Authorized Official Name and Position | Quenise Harrison (OWNER) |
| Authorized Official Contact | 6092546213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Minds Psychotherapy & Life Coaching, Llc 288 Egg Harbor Rd Ste 9 Sewell NJ 08080-3131 Ph: (609) 254-6213 | Vital Minds Psychotherapy & Life Coaching, Llc 118 Hidden Dr Blackwood NJ 08012-4430 Ph: (609) 254-6213 |
| NPI Number | 1467217570 |
|---|---|
| Provider Enumeration Date | 02/19/2024 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467217570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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